Provider Demographics
NPI:1962695817
Name:KING-FINLEY, SARAH LEIGH (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LEIGH
Last Name:KING-FINLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:MO
Mailing Address - Zip Code:65781
Mailing Address - Country:US
Mailing Address - Phone:417-685-4208
Mailing Address - Fax:417-685-4238
Practice Address - Street 1:304 E. JACKON STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:WILLARD
Practice Address - State:MO
Practice Address - Zip Code:65781
Practice Address - Country:US
Practice Address - Phone:417-685-4208
Practice Address - Fax:417-685-4238
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MO2004036292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMO2831178Medicaid
MO499252500Medicaid